Traditional strategies for teaching clinical procedures can be inadequate so that, by the end of their training, physicians may fail to achieve competence even in basic procedural skills. Simulation training has been shown to improve procedure competencies. We developed an inexpensive simulation tool for percutaneous renal biopsy that mimics biopsy conditions in human patients in terms of kidney size, depth, tissue echogenicity and overall structural characteristics. This tool can be prepared with logistically simple approach and minimal time requirements - by inserting a porcine kidney under a turkey breast (both available from meat or grocery stores). The use of this tool for the initial renal biopsy training, as well as for maintenance of already acquired skills, has received overwhelmingly positive feedback from fellows in major adult and pediatric nephrology training programs. Future studies should establish the efficacy of this simulation training in reducing discomfort and adverse renal biopsy outcomes in human patients.
Keywords: renal biopsy, simulation, invasive procedure, training, real-time ultrasound guidance